Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,768.84 / $2,768.84 / $2,768.84	Facility		$2,768.84	$2,768.84	$2,768.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,330.32 / $2,768.84 / $6,753.75	Professional		$2,330.32	$2,768.84	$6,753.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,806.55 / $6,256.95 / $7,821.19	Professional		$4,806.55	$6,256.95	$7,821.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,658.91 / $4,502.09 / $7,455.05	Facility		$3,658.91	$4,502.09	$7,455.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,735.96 / $5,855.64 / $20,784.32	Professional		$2,735.96	$5,855.64	$20,784.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,332.20 / $6,466.61 / $8,772.29	Facility		$4,332.20	$6,466.61	$8,772.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,332.20 / $5,838.94 / $7,614.28	Professional		$4,332.20	$5,838.94	$7,614.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,510.95 / $4,816.82 / $5,556.22	Professional		$3,510.95	$4,816.82	$5,556.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,067.24 / $5,006.18 / $7,787.39	Professional		$3,067.24	$5,006.18	$7,787.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,512.00 / $6,744.10 / $6,744.10	Professional		$5,512.00	$6,744.10	$6,744.10